Welcome to The Ohio Department of Aging

Please Note: You are viewing the non-styled version of The Ohio Department of Aging. Either your browser does not support Cascading Style Sheets (CSS) or it is disabled. We suggest upgrading your browser to the latest version of your favorite Internet browser.

Ohio Department of Aging Choices Home Care Attendant

Choices Home Care Attendant

If you are a non-agency personal care service provider, ODA will be contacting you individually with instructions on how to apply for certification, as your consumer is readied to transition to the PASSPORT waiver.

Choices Home Care Attendant Service is a service designed to provide supportive services specific to the needs of an individual consumer with impaired physical or cognitive functioning. Allowable home care attendant services include, but are not limited to:

Assistance with money management and correspondence as directed by the consumer; and,

Escort services and transportation to community services, activities and resources. This activity is offered in addition to medical transportation available under the Medicaid state plan, and may not replace it. Whenever possible, other sources, which can provide this service without charge, must be utilized.

To be eligible for certification, you must have an individual currently receiving services through the PASSPORT Medicaid Waiver Program who has identified you to provide their Choices Home Care Attendant Services.

Copy of valid driver’s license: A copy of a current and valid driver’s license.

Current and valid photo ID: A copy of at least one of the following current, valid, government-issued, photographic identification cards: driver’s license, State of Ohio identification card, or U.S. permanent residence care.

Copy of current auto insurance policy: An applicant that intends to provide Choices Home Care Attendant services must provide a copy of a current auto insurance card or policy. If you do not have an automobile, you must submit a letter stating you do not intend to transport the consumer.

Criminal Record Check from BCI: You are required to obtain a criminal record check (BCI) at time of application. The original should be forwarded to your consumer you plan to serve and a copy sent to the Ohio Department of Aging. Please contact the Ohio Attorney General’s office at 877-224-0043 for a location nearest you. You may not submit a criminal record check from a previous employer.

Consumer Request for Provider Form: This for will automatically be completed and available for download during the online application process. This form must be signed by both the consumer receiving PASSPORT services and their PASSPORT case manager.

Completed and Signed W-9: This form will automatically be completed and available to download for signature during the online application process.

Social Security Card: Copy of a valid social security card.

Ohio Health Plans Enrollment Application/Time Limited Agreement for Individuals: This form will be automatically completed and available to download for signature during the online application process.

Proof of Residency: Evidence that applicant has been a resident of Ohio for the last five consecutive years. Acceptable documentation includes: valid driver's license; notification of registration as an elector; a copy of an officially filed federal or state tax form identifying the applicant's permanent residence; any other documentation the responsible entity considers acceptable showing evidence the application has been a resident of Ohio for the past five years. If you currently live or have lived outside of Ohio anytime in the past five years, you are required to submit an FBI background check.

FBI record check (if lived outside of Ohio in past 5 years): If you lived or have lived outside of Ohio anytime in the pat five consecutive years, you are required to submit an FBI background check. The original should be forwarded to the consumer you plan to serve and a copy sent to the Ohio Department of Aging.

Non-Disclosure Statement: This form will be available to download for signature during the online application process.